EP4240270C0 - Transseptale zugangspunktoptimierung für linkes vorhofohr - Google Patents

Transseptale zugangspunktoptimierung für linkes vorhofohr

Info

Publication number
EP4240270C0
EP4240270C0 EP21814867.4A EP21814867A EP4240270C0 EP 4240270 C0 EP4240270 C0 EP 4240270C0 EP 21814867 A EP21814867 A EP 21814867A EP 4240270 C0 EP4240270 C0 EP 4240270C0
Authority
EP
European Patent Office
Prior art keywords
aventive
ear
access point
point optimization
transseptal access
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP21814867.4A
Other languages
English (en)
French (fr)
Other versions
EP4240270B1 (de
EP4240270A1 (de
Inventor
Roy Urman
Liron Shmuel Mizrahi
Amit Agarwal
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biosense Webster Israel Ltd
Original Assignee
Biosense Webster Israel Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biosense Webster Israel Ltd filed Critical Biosense Webster Israel Ltd
Publication of EP4240270A1 publication Critical patent/EP4240270A1/de
Application granted granted Critical
Publication of EP4240270C0 publication Critical patent/EP4240270C0/de
Publication of EP4240270B1 publication Critical patent/EP4240270B1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0883—Clinical applications for diagnosis of the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/085—Clinical applications involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48—Diagnostic techniques
    • A61B8/483—Diagnostic techniques involving the acquisition of a 3D volume of data
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00632—Occluding a cavity, i.e. closing a blind opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Cardiology (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
  • Breeding Of Plants And Reproduction By Means Of Culturing (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)
EP21814867.4A 2020-11-03 2021-10-25 Transseptale zugangspunktoptimierung für linkes vorhofohr Active EP4240270B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US17/088,082 US12097071B2 (en) 2020-11-03 2020-11-03 Left atrial appendage (LAA) transseptal access point optimization
PCT/IB2021/059824 WO2022096980A1 (en) 2020-11-03 2021-10-25 Left atrial appendage (laa) transseptal access point optimization

Publications (3)

Publication Number Publication Date
EP4240270A1 EP4240270A1 (de) 2023-09-13
EP4240270C0 true EP4240270C0 (de) 2026-01-28
EP4240270B1 EP4240270B1 (de) 2026-01-28

Family

ID=78770826

Family Applications (1)

Application Number Title Priority Date Filing Date
EP21814867.4A Active EP4240270B1 (de) 2020-11-03 2021-10-25 Transseptale zugangspunktoptimierung für linkes vorhofohr

Country Status (6)

Country Link
US (2) US12097071B2 (de)
EP (1) EP4240270B1 (de)
JP (1) JP7731984B2 (de)
CN (1) CN116761555A (de)
IL (1) IL302499B1 (de)
WO (1) WO2022096980A1 (de)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11399842B2 (en) 2013-03-13 2022-08-02 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
WO2014164572A1 (en) 2013-03-13 2014-10-09 Kaplan Aaron V Devices and methods for excluding the left atrial appendage
US11426172B2 (en) 2016-10-27 2022-08-30 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
EP4516244A3 (de) 2016-10-27 2025-09-03 Conformal Medical, Inc. Vorrichtungen zum ausschluss des linken herzohrs
US12268394B2 (en) 2019-02-08 2025-04-08 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
US12144508B2 (en) 2019-02-08 2024-11-19 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
CN119730805A (zh) * 2022-08-17 2025-03-28 波士顿科学医学有限公司 左心耳封堵术前系统及方法
US12268413B2 (en) * 2022-12-23 2025-04-08 Biosense Webster (Israel) Ltd. Recommending transseptal needle curvature based on anatomy
US20240215983A1 (en) 2023-01-04 2024-07-04 Biosense Webster (Israel) Ltd. Optimized transseptal puncture location
US20250209697A1 (en) * 2023-12-22 2025-06-26 Anumana, Inc. Apparatus and method for generating a three-dimensional (3d) model with an overlay

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7402151B2 (en) 2004-12-17 2008-07-22 Biocardia, Inc. Steerable guide catheters and methods for their use
US8142470B2 (en) 2005-12-01 2012-03-27 Atritech, Inc. Method for accessing the left atrial appendage with a balloon-tipped transeptal sheath
US20070135826A1 (en) 2005-12-01 2007-06-14 Steve Zaver Method and apparatus for delivering an implant without bias to a left atrial appendage
US8480708B2 (en) * 2007-01-23 2013-07-09 Cvdevices, Llc Devices, systems, and methods for percutaneous trans-septal left atrial appendage occlusion
CA2712972C (en) * 2008-02-07 2013-05-28 Alcon Inc. Lens delivery system cartridge
JP4517004B2 (ja) * 2008-06-16 2010-08-04 ノリー株式会社 注射針誘導装置
CN104997574B (zh) 2010-04-13 2017-06-06 森特里心脏股份有限公司 用于向心脏介入和置放装置的方法和装置
JP7019694B2 (ja) 2016-11-08 2022-02-15 ヘンリー フォード ヘルス システム 医療処置で使用するための医療装置の選択
JP6981793B2 (ja) 2017-06-30 2021-12-17 キヤノンメディカルシステムズ株式会社 医用画像処理装置、医用画像診断装置及びプログラム
WO2019010232A1 (en) * 2017-07-07 2019-01-10 Canon U.S.A. Inc. MULTI-PROBE ABLATION PLANNING
US11432875B2 (en) 2017-09-28 2022-09-06 Siemens Medical Solutions Usa, Inc. Left atrial appendage closure guidance in medical imaging
US10413363B2 (en) 2017-12-15 2019-09-17 Medtronic, Inc. Augmented reality solution to optimize the directional approach and therapy delivery of interventional cardiology tools
NL2021849B1 (en) * 2018-10-22 2020-05-13 Mat Nv System and method for catheter based intervention

Also Published As

Publication number Publication date
IL302499A (en) 2023-06-01
US12097071B2 (en) 2024-09-24
US20220133261A1 (en) 2022-05-05
JP2023547666A (ja) 2023-11-13
US20250009331A1 (en) 2025-01-09
EP4240270B1 (de) 2026-01-28
IL302499B1 (en) 2026-02-01
CN116761555A (zh) 2023-09-15
EP4240270A1 (de) 2023-09-13
JP7731984B2 (ja) 2025-09-01
WO2022096980A1 (en) 2022-05-12

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